Inspection on 10/11/05 for Henshaw`s College

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Henshaw`s College 08/11/07

Henshaw`s College 01/11/06

Henshaw`s College 14/03/06

Henshaw`s College 20/01/05

Henshaw`s College 05/10/04

Henshaw`s College 15/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Henshaw`s College Bogs Lane Harrogate North Yorkshire HG1 4ED Lead Inspector Mrs Maggie Coxon Unannounced Inspection 10th November 2005 10:00 Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Henshaw`s College Address Bogs Lane Harrogate North Yorkshire HG1 4ED 01423 886451 01423 885095 cliff.savage@hsbp.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Henshaws Society for Blind People Mr Clifford Savage Care Home 65 Category(ies) of Learning disability (65) registration, with number of places Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. from 16 years to 25 years Registered for 65 service users all of whom have a Sensory Impairment and may also have a Physical Disability. 20th January 2005 Date of last inspection Brief Description of the Service: Henshaw’s College is operated by Henshaw’s Society for Blind People and provides further education, personal care and accommodation. It is registered with the Commission for Social Care Inspection to provide personal and social care for sixty-five younger adults (college students) who have learning disabilities with an additional visual impairment and who may have a physical disability. Some students may be aged 16 and 17 years old. The College is situated on the outskirts of Harrogate close to local facilities in Starbeck and Knaresborough. The campus includes a central teaching block with refectory, sports facilities, and several purpose-built residential units. There are ongoing plans to replace all the residential units with modern facilities over the course of the next 3 to 5 years. All bedrooms are for single accomodation and each house has shared areas including a lounge, dining room and kitchen although some mealsare prepared and eaten in college. The campus has various grassed areas and several themed gardens all of which are well maintained. There is also ample hard standing for parking in an area close to the main entrance to the college. There is level and ramped access to buildings and some doors are automatic. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 10th November 2005, at a time when most of the students living in at the college would be present. It took 5 hours plus 1 hour’s preparation time. Discussions were held with a number of students and student enablers as well as with three house leaders and the registered manager. A variety of records and numerous areas of student accommodation, including bedrooms and shared areas, were seen, as were areas of the college. What the service does well: What has improved since the last inspection? All student enablers have either received appropriate medication training or training has been arranged to take place before the end of the year. Staff have continued to make some progress with their NVQ training and two of the house leaders are undertaking the registered managers award. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 4. Well-detailed information about the home is made available to any prospective student and/or others involved in arranging a placement within the college enabling them to make an informed choice. EVIDENCE: The registered manager has produced a well-detailed statement of purpose and service user guide. These documents provide a lot of information concerning services and facilities provided within the college to prospective and current students and anyone else involved in arranging a placement. Information concerning the accommodation will need to be amended accordingly as ongoing changes to the residential units are carried out. The registered manager is aware of this and said both documents would be amended accordingly. Each student undergoes a full assessment of need prior to his or her admission. Once admitted, a care plan is developed by the student with his or her key worker and the house leader. Each student has a planned introductory programme to the college based on their assessed needs and in line with their personal wishes. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9. Students make as many decisions about their personal lives as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Every student has a well-detailed individual life plan that clearly describes his or her strengths and needs and informs how these needs are to be met. These are regularly checked and updated by staff. All of the students lead interesting and active lives with the support of committed staff teams. They are involved in the running of each house as much as possible and have regular meetings where they can discuss any aspects of life at the college. They have very independent lifestyles and can take calculated risks subject to the outcome of risk assessments drawn up by them and their key workers. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. Whilst studying at the college, students are able to learn many skills and develop personally. They have varied and interesting lifestyles and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. They enjoy a wide choice of home cooked, good quality food. EVIDENCE: Each student has a personal educational programme at the college, which they attend from Monday to Friday during term times. Evening activities are also organized in college including gospel singing, karaoke nights and games nights. A bauble ball has been arranged for Christmas. The registered manager holds weekly leisure meetings with the volunteer team within the college where ideas for different activities are put forward. These are then discussed at individual house meetings. Students are encouraged to become volunteers themselves so that they have a greater input in service provision. Students explained that they have a wide choice of activities to take part in both in college and within their house and that they are very happy Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 11 with these. They also said that they get out and about in their local community as well as further afield where they are able to practice their independent living skills and act as volunteers within their community. Students are supported to develop and maintain relationships with family and friends and staff discuss personal and sexual relationship issues with individuals in value-based discussions. Students have some meals prepared for them in college, which they eat in the college refectory. They explained that the meals are always very nice and that they are always given a choice. Menus are available in Braille to assist some students to choose their meals. Students also explained that they have the opportunity to prepare some meals for themselves within their own kitchen with assistance from their student enablers. All special dietary needs are catered for. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Students’ personal and health care needs are fully met. EVIDENCE: All the students asked said that staff provide personal support in a sensitive manner, which respects their right to privacy and dignity. Individuals have a key to their bedroom if they so choose. Students are encouraged to take responsibility for the own health care although support is provided as and when needed. Some students are registered with a local GP, others with a GP in the area where they come from. Where this is the case, they have access to a local GP whilst in college, who informs their GP of any treatment given. Some of the students take their own medication and have responsibility for collecting and keeping their own medication. Much of the medication administered by staff is dispensed via a monitored dosage system and is securely stored. Medication administration records were well maintained. All staff involved in the administration of medication undertake in-house medication training and many of them have now had external training in the care of medicines from a qualified pharmacist. Other staff are booked to undertake this training. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: There is a comprehensive complaints procedure in operation that is made available to anyone who wishes to see it. This is made available in audio and large print versions. Students said that they are happy to discuss any concerns they might have with staff. Staff have developed very good relationships with the students and were seen to communicate extremely well with them. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. Appropriate child and adult protection procedures are in place and have been followed where and when necessary. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,29 and 30. The standard of the environment is good and provides students with a safe, clean and generally comfortable and place in which to live although the heating in the bedrooms in one of the houses needs improving. EVIDENCE: Three of the houses were seen during this visit. Each house is well maintained and pleasantly decorated. There is a dedicated cleaner for each house and all areas seen were very clean. Students said that they are happy with their bedrooms all of which are for single accommodation and have en-suite facilities although each house also has a shared bathroom, which is fitted with equipment suitable to meet the needs of the students accommodated. Students in one house did say however that even though there were radiators in their bedrooms these rooms were not warm enough. The registered manager agreed to address this issue as soon as possible. Shared areas in the houses visited include lounges, quiet/sensory rooms, computer and telephone rooms and training kitchens. There are suitable aids and adaptations within each house to enable students to live as independently as possible and each has level access. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, 35 and 36. The students receive a good standard of care from highly skilled and experienced staff teams. EVIDENCE: The staffing compliment is currently short of a number of part time student enabler posts. Vacancies are recruited to in line with the organization’s recruitment policies and procedures. The registered manager explained that the recruitment and retention of staff had proved problematic recently. Some of the student enablers are undertaking NVQ to level 3 and said that they are allocated time to study for these. Other training undertaken by staff includes fire safety, moving and handling and medication training. They said that they are able to access other training funded by the college. Staff said that they are given regular formal supervision as well as ad hoc informal supervision. Team meetings are held every six weeks and staff are encouraged to contribute to the agenda. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. The students benefit from well-managed houses in which his or her needs and wishes are put first. EVIDENCE: The registered manager has a qualification in both nursing and social work and is in the process of completing the registered managers award. The college employs a quality manager who oversees the quality assurance and monitoring systems in operation within the college. These include periodically seeking the views of students via a questionnaire to ascertain their views on the services provided at the college. The quality manager then analyses the information provided and incorporates it into the broader quality assurance system in operation. Staff and student meetings are also held. Regular unannounced internal audits are also carried out at the college to monitor performance. At the same time as this inspection, the organization’s health and safety manager was undertaking a full health and safety audit of the college. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 17 No health and safety concerns were raised during this inspection with the exception that it was found that one incident affecting the wellbeing of a student had not been reported to the Commission for Social Care Inspection when it should have been. Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X X 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Henshaw`s College Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 1 X DS0000007884.V262895.R01.S.doc Version 5.0 Page 19 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA24 YA42 Regulation 13 37 Requirement The heating in the bedrooms in Tarn House must be improved. The registered person should ensure that the CSCI is informed promptly and in writing of any incidents reportable under regulation 37 of the Care Homes Regulations 2001. Timescale for action 23/12/05 02/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard 1 32 Good Practice Recommendations The statement of purpose should be amended following any changes to the accommodation. Any amendments to this document should be forwarded to the CSCI. A minimum of 50 of care staff should be qualified to NVQ level 2 or above. (Consideration should alo be given to the fact that 80 of staff working with young people aged 16 and 17 should be qualified to NVQ level 3 in caring for children). The registered manager should complete the registered managers award. 3 37 Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Henshaw`s College DS0000007884.V262895.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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